Author: GIEjournal

Top tips for magnifying endoscopy in the esophagus and stomach (with videos)

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Post written by GIE Associate Editor Seiichiro Abe, MD, PhD, FASGE, FJGES, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. Virtual chromoendoscopy has been used for diagnosing upper GI neoplasms. In particular, magnifying virtual chromoendoscopy using narrow-band imaging and blue-light imaging has been reported to be useful for lesion characterization and margin delineation of GI …

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Endoscopic diagnosis and management of adult inflammatory bowel disease: a consensus document from the American Society for Gastrointestinal Endoscopy IBD Endoscopy Consensus Panel

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Post written by Bo Shen, MD, FASGE, from the Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, New York, New York, USA. Endoscopy plays a key role in diagnosis, assessment of disease activity and treatment response, postoperative disease monitoring, dysplasia surveillance, and delivery of therapy. Ileocolonoscopy (occasionally with upper endoscopy or enteroscopy) establishes the diagnosis of Crohn’s disease (CD) …

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Endoscopic closure of esophageal, gastric, jejunal, and rectopelvic fistulas with cardiac septal occluder devices: a case series

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Post written by Shailendra Singh, MD, and Ethan Cohen, MD, from West Virginia University, Morgantown, West Virginia, USA. This video case series highlights the novel application of cardiac septal occluder (CSO) devices for endoscopic closure of esophageal, gastric, jejunal, and rectal fistulas. Traditionally, managing these complex fistulas and anastomotic leaks has been challenging, often requiring multiple endoscopic attempts …

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Application of endoscopic purse-string sutures in refractory nonvariceal GI bleeding: a multicenter study (with video)

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Post written by Feifan Chen, MD, Yifan Jia, MD, and Xue Xiao, MD, PhD, from West China Hospital of Sichuan University, Chengdu, China. We retrospectively collected data from 3 hospitals from patients who underwent endoscopic hemostasis for nonvariceal GI bleeding (GIB). Overall, 36 refractory bleeding patients received endoscopic purse-string sutures (PSSs), and 83.3% of them achieved clinical success. In refractory upper …

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EUS for the evaluation of esophageal injury after catheter ablation for atrial fibrillation

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Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. Every procedural specialty in medicine has procedure-related issues that might “keep them up at night.” In therapeutic EUS, for example, the short time after a particularly challenging novel anastomosis creation procedure between the gallbladder and duodenum, liver and stomach, or intestine and stomach can …

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The “Asclepius tube”: a slim drainage tube wrapped around the distal part of the endoscope for cecal endoscopic submucosal dissection

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Post written by Yoshikazu Hayashi, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Our article describes a 62-year-old patient with a laterally spreading tumor in the cecum. We developed “the Asclepius tube”—a modified, fenestrated 14F nasogastric tube (SF-GX1420, Terumo, Tokyo, Japan) wrapped around the distal end of the endoscope, allowing …

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Unsedated transnasal endoscopy experience at a tertiary referral center in India

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Post written by Ravi Teja Pasam, MBBS, MPH, from Wentworth-Douglass Hospital, Dover, New Hampshire, USA. Our study focuses on the unsedated transnasal endoscopy (uTNE) experience at a tertiary care center in India. Completion rate, tolerance, and adverse events of uTNE were studied. Tolerance of uTNE was compared with that of prior peroral EGD (PO-EGD) experience. PO-EGD is …

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Endoscopic incisional therapy for giant bridged pseudopolyposis of the esophagus in a patient with upper GI Crohn’s disease

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Post written by Sarang Gupta, MD, and Jeffrey Mosko, MD, from St. Michael’s Hospital and the University of Toronto, Toronto, Canada. A 38-year-old man with stricturing esophageal Crohn’s disease (eCD) was referred for evaluation of progressive solid-food dysphagia despite medical therapy and prior dilation attempts. After balloon dilation of a proximal esophageal stricture, examination of the distal esophagus revealed a …

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EUS-guided coiling plus glue injection compared with endoscopic glue injection alone in endoscopic treatment for gastric varices: a systematic review and meta-analysis

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Post written by Cynthia Florencio de Mesquita from Federal University of Pernambuco, Recife, Brazil, and Stefano Baraldo, MD, from the Institute for Teaching and Research, Barretos Cancer Hospital, Barretos, Brazil. We aimed to compare 2 techniques for managing gastric varices: EUS-guided coiling plus glue versus endoscopic glue injection (EGI) through a systematic review and meta-analysis. Although widely used, EGI …

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Video recording in GI endoscopy

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Post written by Fateh Bazerbachi, MD, from CentraCare, Interventional Endoscopy Program, St Cloud Hospital, St Cloud, Minnesota, USA. This society document outlines the transformative potential of endoscopic video recording (EVR) in GI endoscopy. Although current endoscopic reporting relies on brief written documentation and static images, EVR can capture the complete procedural experience, offering new opportunities to enhance …

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